LETTER OF MANDATE

For NRI Customers

Place______________________ Date_________________

To
The Branch Manager MANDATEES PHOTO DULY
HDFC Bank SIGNED ACROSS THE FACE
____________Branch

Dear Sir

Re: Mandate to operate NRI Savings/ Current account number _______________________________

I/ We refer to the above mentioned NRI savings/ current account no _ at your bank in the name/s of
, residing at __________________
_________________________________________________________________________________________
and I/ We hereby request you to take this letter as a standing instruction / mandate for:

 Honouring all cheques drawn on the said account and instruction for local disbursements only by
resident of_____________________________________________________

with PAN: __________________________________ (If PAN is not available kindly attached Form 60)
Contact No.: Resi No. __________, Mobile No. ___________,
Email Id , Date of Birth not
withstanding that such chequemay create an overdraft or increase it to any extent.
 Authorize Mr./ Ms. ("the said person" ) on my/ our behalf to make,
draw, endorse, accept or otherwise sign any bills of exchange, promissory notes or other negotiable instruments and to
discount the same with your bank or otherwise and also to make, draw, endorse or sign cheques or any other negotiable
instrument of any description for investment in shares , debentures , fixed deposits , bonds , units and operate the account
for making necessary investment and grant viewing rights to my account through Net Banking. I/ we hereby ratify and bind
myself / ourselves and confirm to all and whatever instructions the said person has given on my/our behalf.
 All local payments in Rupees including payments for eligible investments subject to compliance with relevant regulations
made by the Reserve Bank; and
 The Letter of Mandate holder is not permitted to repatriate outside India funds held in the account other than to the non-
resident individual account holder himself nor to make payment by way of gift to a resident on behalf of the non- resident
account holder or transfer funds from the account to another NRO/NRE account.

I hereby confirm that the purpose of adding a mandate holder is for operation of my account as I reside outside India. The
mandatee shall however, while acting under this mandate ensure that he /she acts in accordance with the instructions and
directions that may be issued from time to time by the Reserve Bank of India or the Government of India or any other body or
authority.

I / We agree to bear any losses, claims that may arise directly or indirectly on account of the Bank acting on this instruction/ mandate
and the instruction given thereof by the said person.

This authority shall continue in force until I/We shall have expressly revoked it by a notice in writing delivered to you.

Yours Faithfully,

** (Specimen signature of the Mandate holder)

X. X.
Above signature verified by account holder(s) Above signature verified by account holder(s)
(** - Signature of the Mandatee, X - Signature of the account holder)
 Extended KYC Annexure - Individuals (including sole-proprietors)
(Applicable for Resident and Non-Resident Customers)(Mandatory)
AOF Number:
SECTION A :
Please fill the information below as requested First Account Holder Second Account Holder
Name of the Account Holder
Customer ID
Maiden Name (if any)
Father’s Name (mandatory )
Spouse’s Name
Marital Status □ Married □ Unmarried □ Others □ Married □ Unmarried □ Others
Identification Type- Documents submitted as □ Passport Date of Expiry DD /MM /YYYY □ Passport Date of Expiry DD /MM /YYYY
proof of identity of the individual
□ Driving License Date of Expiry DD /MM /YYYY □ Driving License Date of Expiry DD /MM /YYYY
(Passport No & Expiry date are mandatory for □ Letter from national population register □ Letter from national population register
NRI/PIO/Foreign National) □ Aadhaar card / letter □ NREGA Card □ Aadhaar card / letter □ NREGA Card
□ Voter’s ID card □ Voter’s ID card
Identification Number - for the identification
type mentioned above

Please mention your Residential Status if it is □ Resident Individual □ Non Resident Indian □ Resident Individual □ Non Resident Indian
any one of these □ Foreign National □ Person of Indian Origin □ Foreign National □ Person of Indian Origin
Visa Type Visa Type
(Visa Type & Visa expiry date are mandatory □ Employment Visa □ Student Visa □ Employment Visa □ Student Visa
for NRI/Foreign National)
□ Business Visa □ Multiple entry Visa □ Business Visa □ Multiple entry Visa
□ Tourist Visa □ Others (Pls specify) __________ □ Tourist Visa □ Others (Pls specify) ____________
□ Visa Expiry Date DD /MM /YYYY □ Visa Expiry Date DD /MM /YYYY
Proof of Address □ Passport □ Driving License □ Passport □ Driving License
□ UID (Aadhaar) □ Voter Identity Card □ UID (Aadhaar) □ Voter Identity Card
□ NREGA Job Card □ NREGA Job Card
□ Letter from National population register □ Letter from National population register
□ Utility Bill □ Property or Municipal tax receipt □ Utility Bill □ Property or Municipal tax receipt
□ Pension payment Order □ Pension payment Order
□ Letter of allotment & L and L agreement □ Letter of allotment & L and L agreement
Identification Number of Address proof above
Please tick if Address Type is other than □ Residential and Business □ Residential and Business
Residential
□ Business □ Business
□ Registered Office □ Registered Office
Nationality (if national of more than one
country, please mention all the countries
separated by a comma)

SECTION B: Foreign tax residency details if any (Please consult your professional tax advisor for further guidance on your tax residency, if
required
Please tick, if you are a tax resident of any country outside India. If you do not tick, it is your affirmation that you are a tax
resident of India and not of any other foreign country
- First account holder : (To tick, especially in cases where the individual is a citizen/green card holder of USA)
- Second account holder: Yes (To tick, especially in cases where the individual is a citizen/green card holder of USA)
If yes, please indicate all countries in which you are resident for tax purposes and the relevant details in below section:

Account Country/(ies) of Tax Identification Identification Type Please tick if your Address for Tax Please tick if Address Type for
holder Tax residency # Number (TIN)% (TIN or Other%, purpose is other than your Mailing tax purpose is other than
details please specify) Address Residential
First □ Same as permanent address □ Residential and Business
□ Business
□ Registered Office
Second □ Same as permanent address □ Residential or Business
□ Business
□ Registered Office
# To also include USA, where the individual is a citizen/ green card holder of USA, % In case Tax Identification Number is not available, kindly provide functional equivalent$
 Extended KYC Annexure - Individuals (including sole-proprietors)
(Applicable for Resident and Non-Resident Customers)(Mandatory)

Below details required if tax resident outside India / Nationality is other than India First Account Holder Second Account Holder
Please mention if your “Country of Birth” is other than India

City of Birth

Certification: I/We have understood the information requirements of this Form as per the CBDT notified Rules 114F to 114H and hereby confirm that the information provided by me/us on this Form is
true, correct, and complete. I/We also confirm that I/We have read and understood the Terms and Conditions below and hereby accept the same. I/We understand that my personal details as provided
/available in the bank records will be used for CBDT reporting / Central KYC Registry. I hereby consent to receiving information from Central KYC Registry through SMS / Email.

Signature of first holder Signature of second holder

Date: ___ / ____ / ______ Place: _____________________________

CBDT Terms and Conditions - The Central Board of Direct Taxes (CBDT) has notified Rules 114F to 114H, as part of the Income-tax Rules, 1962, which Rules require Indian financial institutions such as
the Bank to seek additional personal, tax and beneficial owner information and certain certifications and documentation from all our account holders. In relevant cases, information will have to be
reported to tax authorities/ appointed agencies. Towards compliance, we may also be required to provide information to any i nstitutions such as withholding agents for the purpose of ensuring
appropriate withholding from the account or any proceeds in relation thereto. Should there be any change in any information provided by you, please ensure you advise us promptly, i.e., within 30
days. Please note that you may receive more than one request for information if you have multiple relationships with HDFC Bank or its group entities. Therefore, it is important that you respond to
our request, even if you believe you have already supplied any previously requested information.

CBDT Instructions - If you have any questions about your tax residency, please contact your tax advisor. If you are a US citizen or resident or green card holder, please include United States in the
foreign country information field along with your US Tax Identification Number.

$ It is mandatory to supply a TIN or functional equivalent if the country in which you are tax resident issues such identifiers. If no TIN is yet available or has not yet been issued, please provide an
explanation and attach this to the form. In case customer has the following Indicia pertaining to a foreign country and yet declares self to be non-tax resident in the respective country, customer
to provide relevant Curing Documents as mentioned below:

FATCA/ CRS Indicia observed Documentation required for Cure of FATCA/ CRS indicia
If customer does not agree to be Specified U.S. person/ reportable person status
1. Self-certification (in attached format) that the account holder is neither a citizen of
1 U.S. place of birth United States of America nor a US resident for tax purposes;
2. Non-US passport or any non-US government issued document evidencing nationality or
citizenship (refer list below); AND
3. Any one of the following documents:
a. Certified Copy of “Certificate of Loss of Nationality or
b. Reasonable explanation of why the customer does not have such a certificate despite
renouncing US citizenship; or Reason the customer did not obtain U.S. citizenship at
birth
1. Self-certification (in attached format) that the account holder is not resident for tax
2 Residence/mailing address in a country other than India purposes in that country; and
2. Documentary evidence (refer list below)
1. Self-certification (in attached format) that the account holder is not resident for tax
3 Telephone number in a country other than India (and no purposes in that country; and
telephone number in India provided)
2. Documentary evidence (refer list below)

List of acceptable documentary evidence needed to establish the residence(s) for tax purposes:

1. Certificate of residence issued by an authorized government body*

2. Valid identification issued by an authorized government body* (e.g. Passport, National Identity card, etc.)
* Government or agency thereof or a municipality

For Bank use only

Documents Received : □ Self Certified □ True Copies □ Notary
Employee Name : _______________________________________ Employee Code : ________
Employee designation :_____________________________
Sourcing Employee Branch Name : ____________________Branch Code :□□□□
Signature verified and form approved by : BDA / BM employee Code : ________________ Signature & Date : _____________________________
92856/22.02.2023